Full name:

Owner name:

Company name:

Address on the commercial registration certificate:

Website:

Please select a website category (Type of Business):

 Computers, IT equipment and software.
 Domain Registration/Website Design.
 Entertainment and Recreation.
 Games / toys / gifts / miscellaneous goods
 Industrial tools.
 Medicine and Health.     
 Travel/Ticket/Hotel/Car Rental.
 Design of buildings and places.
 Education
 Financial, legal, accounting and other consulting.
 Vehicles and Parts.
 Communication equipment / cameras
 Fashion/Dress/Jewelry.
 Food and drink.
 Art and Culture.
 Rental of equipment, tools and engines.
 Everyday consumer goods / supplies
 News/Media/Advertising.
 Furniture and Decorative Equipment.
 Sports / recreation equipment
 Construction materials/tools/equipment.
 Other business.

Type of business (specify in addition to item 5 which goods or services your website sells):

 Retail sales.
 Wholesale sales
 Service
 Internet Service Provider (ISP).
 Server space rental (web hosting)
 E-commerce Marketplace (E-marketplace). 

Ordering/Purchasing System:

 Cart system.
 Online order form
 E-mail
 Telephone
 Fax.
 Other

How to pay:

 Offline payment (bank transfer, postal payment, payment to employees, etc.)
 Online payment via credit card. 
 Online payment via e-banking 
 Online payments via payment providers such as PayPal, Paysbuy, etc. 
 Other

How to ship:

 Transportation Company.
 Postal delivery
 Delivery man.
 Download
 E-mail 
 Other

Amount of funds (used for e-commerce):

Mobile phone number:

Fax number:

E-mail:

Manager's name:

Registered office: